Virginia Lawyers Weekly reports today on a $1,000,000 settlement in a medical malpractice Erb’s palsy case. The interesting thing about this case is that the injuries occurred during a cesarean section. The father of the child claimed he witnessed the obstetrician applying excessive force to the fetal head after the baby’s shoulder did not clear. Plaintiff’s expert testified the doctor failed to make the incision large enough to extract the baby’s head and then inappropriately applied traction to the baby’s still entrapped head. Fortunately, the doctor promptly diagnosed the child with a brachial plexus injury confined to the child’s neck (at C5/C6). After surgery, the child has a good prognosis for a functional arm and hand.
Shoulder dystocia cases are not rare but this is the first case I have seen or read about where the OB/GYN’s malpractice was failing to make a large enough C-section incision. There are many claims that involve failing to provide a c-section.
These injuries occur with babies that are much larger than typical or, as is frequently the case when the mother has diagnosed or undiagnosed gestational diabetes (or is just a diabetic). The big thing with this problem is seeing the problem before it manifests itself.